HomeMy WebLinkAboutPermit Electrical 1993-11-19 (2)CITY OF OREGO'U
SPFIINGFIELE,
The fcllowlng project
zoning, onC does not require opecilic land use
as submltted hare the
approval.
225 P],YTE STREET
SPFJNGPIELD, oREGoN 97
INSPECTTON REQUEST: 7
OPPICE: 726-3759
1. LOCATION OP INSTALI.ATI
l-m477 Zoni ELECTRICAL PERHTT APPLTCATION
zoolE2- rl]telr:r
I )- )6 -1J City Job Nurnber
Authorized Sig s SCEEDI.'LE BELOII
2. CO}ITRACTOR TNSTALI.ATION ONLI
i'llectrical Contrac to, M Ci,-
Address
LEGAL DE
JOB DBSCRIPTION
.)
.?y) ,
0wners Name
Add ress kr,i';rl,te .gf
Ci ty Phone 6 7r3 t
OVNER INSTALI.,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE:
A. Nev Residential-Single orMuIti-Family per dvelling unit.
Service fncluded:
f tems Cos t
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Hanuf'd Home or
-Modular DveIIing
Service or Feeder
s 8s.00
s 1s.00
s 40.00
Services or FeedersInstaIIation, Alterations
or Relocation:
43i)
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
Sum
-{o-<:o
$ 40.00
s ss.00
$ 80.00
see rtB* aSovE-
s 40.00
s 40.00
s 20.00
$ 36.00
_52-ort'
B
Ci ty €t tta+e-Phone 4 ,.,t +, V,i t-9:
srrpervisor'rr""n-r" Number 3M
Expiration Date /e /,vrt
Constr Contr. Number C-
Expiration Date
Signature of Su pervising Blectri c lan
**J,
Temporary Services or Feeders
InstaIlation, Alteration or Relocation
200 amps or less t
201 amps to 400 amps s-
401 amps to 600 amps
-601 amps to 1000 amps_
0ver 1000 amps/voIts
Reconnect Only
s s0.00
s 50.00
s 100. 00
s130.00
s300. 00
$ 40.00
c
200 amps or less
20L amps to 400 amps
-0ver 401 to 600 amps
0ver 600 amps or 1000-voTTs
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permit / $'2.00 2-"'
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0utline Light ing-
Limi ted Energy/Res _Limited Energy/Comm
SIIBTOTAL OF ABOVB
5Z State Surcharge
TOTAT
?. 6a5
RBCBIVED B
14--74
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